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Pennsylvania rates for HCPCS 33989

Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $7,244.36 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,412.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $977.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $794.33
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $977.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,370.32 / $13,803.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $1,513.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $1,202.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $562.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $1,023.29